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Brain–Ayurvedic Concept Mastishka is the term used for the organ situated in Shirah Pradesh . Various Dhatus compose this organ. Mastulunga (a type of Sneha ) is the main among them, hence sometimes Mastishka is also known as Mastishka is the site for all Dnyanendriyas and Karmendriyas which perform activity of perception and motor activities along with mental functioning. It is one of the main Marma . ( Marma is the vital part of the body.)

The Tridoshas viz Vata, Pitta and Kapha are active all over the body. These are sub-typed according to the functions and site of activity. Seven Dhtus are the structural units of the body. Tridoshas and Sapta Dhatus, togetherly compose / form / develop / make various body organs.

1.1 Composition of Mastishka / Mastulunga —

Prana Vayu

Udana Vayu

Alochaka Pitta

Sadhaka Pitta

Tarpaka Kapha

Majja ( can be correlated with a kind of Nervous Tissue)

Medo Dhatu ( can be correlated with a kind of fatty Tissue)

Rakta ( can be correlated with blood)

Vasa ( can be correlated with a kind of fatty Tissue)

Composition of brain acc. to modern medical science

1.2 Functioning of Mastishka / Mastulunga —

In normal state, Prana Vayugives stimulation to Indriyas for perception and conduction of Impulses. Udana Vayu is responsible for enthusiasm, memory, initiation and Urja (inner energy). Alochaka Pitta and Sadhaka Pitta are responsible for intellectual activities. Tarpaka Kapha nourishes all Indriyas. Rtakta is supplier of nutrients Medo Dhatu and Vas aprovide suitable environment for all functions and frictionless conduction of impulses. Majja is substratum for all activities.

When all these are in proper status, Brain is in ACTIVE phase.

1.3 Ageing of Mastishka / Mastulunga —

Old Age is inevitable and last phase of the body which is followed by death. Death in / due to old age is considered as Normal / Natural Death The passage of time also effect the span of life. The life span at the beginning of creation was 400 years,which gradually started decreasing in the Tretayuga,Dvaparayug and in kaliyug.It becomes the lowest the rate of diminishing of lifespan mentioned in Charaka Samhita is one year after the passage of 1\100 th of the yuga.(Cha. Vi.3\24 to 27and chakrapani commentary) On this basis,it may be stated that with passage of time the life span of human beings is also decreasing.Acharya Sushruta has devided Jara int two groups.1-Kalaja jara.(timely ageing ) and 2-Akalaja Jara.(premature ageing) The appearance of signs and symptoms of Jara before the age of 60\70 years may be defined as Akalaja Jara.It occurs before the scheduled age for not taking the care of swasthavritta and not getting shodhana(purification) done at the proper time as mentioned in Ayurveda.According to Acharya Dalhana the main cause of Akalaja Jara is once carelessness towards his health.He further mentioned that Akalaja Jara(premature ageing) can be cured successfully with Rasayana Therapy while Kalaja Jara requires continuous care since it is of Yapya type(it can just check or delay the ageing process for sometime).(life span of present era, years of natural ageing acc to this span)
The same symptoms of ageing may occur prior to ‘old’ phase of the body which is called Early Ageing.
This whole description is given in the first part. Here, discussion is restricted to Ageing of Brain only.
Three points are needed repetition here.

1 Abnormal status of Dhatus- especially Dhatu-Kshaya and Dhatu-Shaithilya. (explanation of these terms in modern language)

1

Prana Vaha Srotasa

Shwaskrichrata(dysopnea)

2

Udaka Vaha Srotasa

Nisthivana(expectration)

3

Anna Vaha Srotasa

Agnimandya,aruchi(loss of apetite,anorexia)

4

Rasa Vaha Srotasa

Twakshaithilya,Vali,rukshata(loss of skin luster,elasticity)

5

Rakta Vaha Srotasa

Dhamanikathinya(Atherosclerosis)

6

MamsaVaha Srotasa

Mamsashaithilya(flabbiness of muscles),Karshya(weightloss)

7

Medo Vaha Srotasa

Twakparushya(roughness of skin.)

8

AsthiVaha Srotasa

Asthibhangurta(osteoporosis),Shlthasthisandhita(flabbiness of joints)

9

MajjaVaha Srotasa

Asthisaushirya(osteoporosis)

10

Shukra Vaha Srotasa

Shukralpta(oligospermia)Jarajanya klaibya(impotency)

11

Mutra Vaha Srotasa

Mutrakrichrata(urinary incontinence)

12

Purisha Vaha Srotasa

Malaavashtambha(constipation)

13

ManoVaha Srotasa

Smritinash(loss of memory)

2. Aggravation of Vata Dosha.-Achrya Charaka has coined the word vat dhatu prayah meaning the possibility of predominant unvitiated vatic qualities in the old age.The progression of ageing with dhatu kashaya again adds to the increase in the vata dosha.The features like prabhahani(loss of skin lustor),palitya(graying of hair),vali(wrinkling of skin) denotes the excessive activity of pitta dosha in the old age .Depletion of dhatu,loss of virility and bala denotes the activity of kapha dosha.

In ageing phase, these disturbed mechanisms are effectively exhibited all over the body; same is the case for brain.

1.4 Causative factors for brain ageing—

So many causes are discussed in the earlier part. Almost all are applicable to brain also. Here, only two of them are discussed which are found with high % in present day life style. These two are not psychological but affect the body to great extent.

A) Excess consumption of Teeksna Substances

Alcohol, various preservatives etc are the examples of Teekshna Guna as stated previously. This damages Brain tissue. Teekshna Guna has penetrating capacity, it damages inner & / or outer wall of cells, cell-membrane , even inner structures of cell like mitochondria etc. It also loosens intermolecular and intra molecular bonds of Dhatus leading to Shaithilya.

Deficiency of Snigdha Guna ultimately results in excessive Raukshya i e roughness of the surface even at micro level(area of very very small circumference) .This develops obstructions or frictions in the pathways of transportation of perception and motor conductions. Similarly, transportation of various nutrients is also obstructed. Such lack of nutrients leads to DhatuKshaya.

1.5 Ageing process in Brain—

Collectively, these cause Structural as well as Functional loss of the organ. Nourishment of Dhatus is disturbed to great extent due to Shaithilya and Kshaya, ultimately resulting in shrinking of brain. Step by step de-functioning leads to increased risk of Infarction.

Indriya-Karma-Hani – impaired functioning of sensory organs and motor functioning is observed alongwith declined intellectual activities and Mano-Gati-Nasha. (Mind is the main functional unit in the process of perception, thinking process and other intellectual activities. Mano-Gati-Nasha means ????? explanation in modern science’s words )

Cognitive problems

Behavioural Problems

Memory loss

Agitation

Poor concentration

Personality changes

Visuo_spatial difficulties

Abnormal eating behaviour

Non-specific focal cortical damage

Wandering

Speechand language defect

Mood disorder

Focal neurological deficits

Anxiety,phobias,fears

Loss of language

Restleessness

Inability to recognize self and others

Delusions

Seizures

Hallucinations,illusions

Disturbances of muscle rigidity and gait

Shouting,rage,violence

Bladder and bowel incontinence

Disinhibition

Total confinement to bed

Compulsive behaviour

Normal age related changes in the brain

1-Reduction in brain size.Enlarged ventricles,loss of neuronsand accumulation of end products of metabolism.

Structural Restoration–

— Rakta –Prasadana

— Medo – Poshana

— Majja – Poshana

Functional Restoration

— Activation of Tarpaka Kapha for Proper functioning of Indriyas

— Maintainance of ‘Avyahata-Gati’ of Prana & Udana Vayu for smooth conduction of impulses.Avyahata Gati is the movement or course through specific pathway, during specific time and with specific speed. This results in normal & smooth conduction of impulses and also normalcy in Mano-Gati and in creation of Urja – the inner energy.

— Medya Rasayana –Bramhi(bacoppa monneri)-Guduchi(Tinospora cordifolia)Yashti madhu(glyceria glabra)Shankhapushpi are considered to be helpful as mentioned in Charka Samhita

Stimulation of Alochaka Pitta for positive intellectual activities

1.8 Drug of choice – Siddha Ghrita—-

Achievement of all such effects is possible with proper selection of Drug. Though, so many drugs are listed earlier; here, Siddha Ghrita is discussed.

Goghrita is expected here which is a derivative of cow’s milk. This Ghee when medicated with Aushadhis , called as ‘Siddha Ghrita’. It assimilates properties of Aushadhis and also retains its own properties ; thus exhibits desired effects.

About: Dr. Santosh Chavan has studied at the National Institute of Ayurveda, Jaipur by Govt. of India and is an Associate professor in Dept. of Panchakarma Bharti Vidyapeeth. He is also pursuing Ph.D in Panchakarma. He is also on the panel consultant atthe Deenanath Mangeshkar Memorial hospital Ayurveda Department in Pune and is independently practicing in 2 places in Pune. Dr. Santosh Chavan has a website from WebsiteForDoctors

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